Individual
LAKEISHA VARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CPCS
Contact information
Practice address
5861 CREEKSIDE DR # 500, REX, GA 30273-1182
(678) 849-4271
Mailing address
5861 CREEKSIDE DR # 500, REX, GA 30273-1182
(678) 849-4271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC002408
GA
101YP2500X
Professional Counselor
Primary
LPC06967
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152492A
—
GA
Enumeration date
05/21/2010
Last updated
12/06/2022
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